You have a family member is identified with PKD (Polycystic Kidney Disease).
Since PKD is a genetic kidney disease and it will run in the families, all the
left family members should go and perform a check. Then, what checks should PKD
patients have?
1. Urine routine
Usually, the urine check will be normal at the early stage. At the middle
stage, patients might have microscopic hematuria (blood in urine). Part of
patients might present proteinuria (protein in urine). If patients are
accompanied with Kidney stone or infections, white blood cells and pyocytes will
be found.
2. Test of urine osmolality
At the early stage, when patients have only a few cysts, the concentration
function of kidneys will be damaged. The decline of concentration function is
ahead of the reduction of GFR.
3. Blood test
The serum creatinine level and urea nitrogen level will be higher than
normal.
4. IVP (intravenous pyelogram)
IVP will show that there is image that pelvis and renal calices are
oppressed.
5. B ultrasound
We can see numerous dark spaces through B ultrasound.
6. CT ultrasound
The CT ultrasound will show obvious enlargement of both kidneys.
However, if PKD is identified, they need to receive proper treatment as early
as possible. Whether the cysts can be controlled to stop the progression of
kidney failure, timely treatment means a lot.
